Main Article Content
Abstract
Penyakit jantung koroner Latar Belakang: Kualitas hunian merupakan faktor penting yang memengaruhi kesehatan pernapasan, khususnya di wilayah perkotaan rawan banjir. Di Kelurahan Dukuh Kupang, Surabaya, ventilasi buruk, kelembaban tinggi, dan kepadatan hunian diduga meningkatkan risiko Infeksi Saluran Pernapasan Atas (ISPA). Untuk mendukung intervensi kesehatan perkotaan, penelitian ini menganalisis hubungan antara kualitas hunian dan insiden ISPA.Metode: Penelitian menggunakan pendekatan mixed methods, menggabungkan survei rumah tangga pada 80 responden dari 8 Rukun Warga dengan wawancara informan kunci. Faktor-faktor seperti jenis lantai, jenis dinding, luas ventilasi, kelembaban udara, suhu ruangan, dan kepadatan hunian menunjukkan kualitas hunian. Gejala dan tingkat keparahan ISPA diidentifikasi melalui kuesioner dan catatan medis. Analisis regresi logistik digunakan untuk menguji hubungan statistik.Hasil: Sebanyak 62% rumah memiliki ventilasi tidak memadai, 55% memiliki kelembaban tinggi, dan 48,8% memiliki kepadatan hunian tinggi. Kejadian ISPA mencapai 71,3%, dengan gejala batuk (90,0%) dan demam (82,5%) paling sering dilaporkan. Ventilasi buruk berhubungan signifikan dengan ISPA (OR = 4,02; 95% CI: 1,78–9,08; p < 0,01).Kesimpulan: Risiko infeksi saluran pernapasan akut (ISPA) meningkat secara signifikan di daerah perkotaan yang rentan banjir. Studi ini menekankan pentingnya meningkatkan kondisi fisik perumahan, terutama ventilasi dan lingkungan dalam ruangan, sebagai strategi kritis dalam intervensi kesehatan masyarakat untuk mengurangi risiko ISPA di daerah-daerah rentan tersebut.
Background: In urban areas that are susceptible to flooding, the condition of housing is a critical determinant of respiratory health. In Dukuh Kupang, Surabaya, poor ventilation, high humidity, and overcrowding are suspected to elevate Acute Respiratory Infection (ARI) risk. This study investigated the correlation between the incidence of ARI and the condition of housing in order to inform urban health interventions.Methods: A mixed-methods approach was applied, combining a household survey of 80 residents from 8 neighbourhood units with key informant interviews. Housing indicators included floor type, wall type, ventilation area, humidity, temperature, and occupancy density. ARI symptoms and severity were assessed through questionnaires and clinical records. Logistic regression tested statistical associations.
Results: A high occupancy density of 48.8%, 55% of houses had excessive humidity, and over 62% of houses lacked adequate ventilation. The incidence of acute respiratory infections (ARIs) was 71.3%, with fever (82.5%) and cough (90.0%) being the most prevalent. ARI was significantly correlated with inadequate ventilation (OR = 4.02, 95% CI: 1.78–9.08, p < 0.01).Conclusion: Urban areas that are susceptible to inundation experience a substantial increase in the incidence of acute respiratory infections (ARIs). This study emphasizes the importance of improving physical housing conditions, particularly ventilation and indoor environments, as a critical strategy in public health interventions to reduce the risk of ARI in these vulnerable areas.
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References
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References
Ilboudo, A.K., Cissé, A., Milucky, J., et al. (2024). Predictors of severity and prolonged hospital stay of viral acute respiratory infections (ARI) among children under five years in Burkina Faso, 2016-2019. BMC Infectious Diseases, 24, 331. https://doi.org/10.1186/s12879-024-09219-x
https://doi.org/10.1186/s12879-024-09219-x
Windi R, Efendi F, Qona'ah A, Adnani QES, Ramadhan K, Almutairi WM. Determinants of acute respiratory infection among children under-five years in Indonesia. J Pediatr Nurs. 2021;60:E54-E59. https://doi.org/10.1016/j.pedn.2021.03.010 [3] Eisenberg, J.N., Desai, M.A., Levy, K., et al. (2007). Environmental determinants of infectious disease: A framework for tracking causal links and guiding public health research. Environmental Health Perspectives, 115(8), 1216-23. https://doi.org/10.1289/ehp.9806
https://doi.org/10.1289/ehp.9806
Holden, K.A., Lee, A.R., Hawcutt, D.B., et al. (2023). The impact of poor housing and indoor air quality on respiratory health in children. Breathe, 19(2), 230058. https://doi.org/10.1183/20734735.0058-2023
https://doi.org/10.1183/20734735.0058-2023
Lorentzen JC, Johanson G, Björk F, Stensson S. Overcrowding and hazardous dwelling condition characteristics: a systematic search and scoping review of relevance for health. Int J Environ Res Public Health. 2022;19(23):15542. https://doi.org/10.3390/ijerph192315542
https://doi.org/10.3390/ijerph192315542
Pratiningsih WA, Putri DA, Trisnaini N, Angelica N, Rahma A, Maharani ADRQ, et al. Living conditions and respiratory health: a study on ARI determinants in a wetland urban settlement in South Sumatra. Indones J Environ Health. 2025;1(1).
Rustiadi, E., Pravitasari, A.E., Setiawan, Y., et al. (2021). Impact of continuous Jakarta megacity urban expansion on the formation of the Jakarta-Bandung conurbation over rice farm regions. Cities, 111, 103000. https://doi.org/10.1016/j.cities.2020.103000
https://doi.org/10.1016/j.cities.2020.103000
Cea, L., Costabile, P. (2022). Flood risk in urban areas: Modelling, management, and adaptation to climate change. Hydrology, 9(3), 50. https://doi.org/10.3390/hydrology9030050
https://doi.org/10.3390/hydrology9030050
Kovats, S., Karakas, F., Rother, H.A., et al. (2024). Assessing the health risks from flooding and chemical contamination: A scoping review. European Journal of Public Health, 34(Suppl 3), cka e144.216. https://doi.org/10.1093/eurpub/ckae144.216
https://doi.org/10.1093/eurpub/ckae144.216
Ang-Li, Toll M, Bentley R. Health and housing consequences of climate-related disasters: a matched case-control study using population-based longitudinal data in Australia. Lancet Planet Health. 2023;7(6):E490-E500. https://doi.org/ 10.1016/S2542-5196(23)00089-X
https://doi.org/10.1016/S2542-5196(23)00089-X
Kajjoba D, Kasedde H, Kirabira JB, Wesonga R, Mugwanya R, Lwanyaga JD, et al. Impact of natural ventilation and outdoor environment on indoor air quality and occupant health in low-income tropical housing. Energy Rep. 2024;12:4184-94. https://doi.org/10.1016/j.egyr.2024.10.004
https://doi.org/10.1016/j.egyr.2024.10.004
Kek HY, Mohd Saupi SB, Tan H, Othman MHD, Nyakuma BB, Goh PS, et al. Ventilation strategies for mitigating airborne infection in healthcare facilities: a review and bibliometric analysis (1993-2022). Energy Build. 2023;295:113323. https://doi.org/10.1016/j.enbuild.2023.113323
https://doi.org/10.1016/j.enbuild.2023.113323
Han L, Ran J, Chan KH, Mak YW, Suen L, Cowling BJ, et al. Indoor environmental factors and acute respiratory illness in a prospective cohort of community-dwelling older adults. J Infect Dis. 2020;222(6):967-78. https://doi.org/10.1093/infdis/jiaa188
https://doi.org/10.1093/infdis/jiaa188
Flores AB, Sullivan JA, Yu Y, Friedrich HK. Health disparities in the aftermath of flood events: a review of physical and mental health outcomes with methodological considerations in the USA. Curr Environ Health Rep. 2024;11(2):238-54. https://doi.org/10.1007/s40572-024-00446-7
https://doi.org/10.1007/s40572-024-00446-7
Lorentzen JC, Johanson G, Björk F, Stensson S. Overcrowding and hazardous dwelling condition characteristics: a systematic search and scoping review of relevance for health. Int J Environ Res Public Health. 2022;19(23):15542. https://doi.org/10.3390/ijerph192315542
https://doi.org/10.3390/ijerph192315542
Wilk M, Harper G, Liverani S, Firman N, Simon P, Dezateux C. Inequalities in household overcrowding in an ethnically diverse urban population: a cross-sectional study using linked health and housing records. Int J Popul Data Sci. 2025;10:2408. https://doi.org/10.23889/ijpds.v10i1.2408
https://doi.org/10.23889/ijpds.v10i1.2408
Santri, I.N., Wardani, Y., Phiri, Y.V.A., et al. (2023). Associations between indoor air pollutants and risk factors for acute respiratory infection symptoms in children under 5: An analysis of data from the Indonesia Demographic Health Survey. Journal of Preventive Medicine & Public Health, 56(3), 255-263. https://doi.org/10.3961/jpmph.22.470
https://doi.org/10.3961/jpmph.22.470
Lakshmi, B. S., Ujianti, I., Fahrozi, F., Albantani, I., Putri, A., Nofrizal, N., ... & Sukarya, W. S. (2023). The Correlation between Sleep Quality and Level of Stress among Students in Islamic Boarding School Bogor. Jurnal Kedokteran Brawijaya, 240-245.
https://doi.org/10.21776/ub.jkb.2023.032.04.7
Indriyati, L. H., Ujianti, I., & Lakhsmi, B. S. (2023). The prevalence of metabolic syndrome and its components among male workers in Indonesia. Journal Of The Indonesian Medical Association, 73(2), 68-76.
https://doi.org/10.47830/jinma-vol.73.2-2023-886
Lakhsmi, B. S., Nurusshofa, Z., & Ujianti, I. (2022). Pelatihan Budidaya Tanaman Hidroponik dan Edukasi untuk Meningkatkan Gerakan Makan Sayur di Panti Asuhan Jakarta. J. Pengabdi. Kpd. Masy. Indones.
